Background/Aim: Circadian rhythm is an internal clock that regulates the cycles of many biological functions. Epidemiological studies have linked aberrant circadian rhythm to an increased susceptibility to cancer and poor patient prognosis. However, there remains a gap in our understanding of genetic variants related to the circadian pathway in renal cell carcinoma (RCC) progression. Patients and Methods: We examined the associations of 150 single nucleotide polymorphisms (SNPs) in 12 core circadian pathway genes with RCC risk and survival in 630 patients with RCC and controls. Results: After adjusting for multiple comparisons and performing multivariate analyses, we found that the HLF rs6504958 polymorphism was significantly associated with RCC risk (q<0.05), whereas, no SNP association was significant for survival. Furthermore, the rs6504958 G allele was associated with reduced expression of HLF; consequently, a lower HLF expression was correlated with more advanced RCC. Moreover, a metaanalysis of six kidney cancer gene expression datasets demonstrated that an elevated HLF expression was associated with a favorable prognosis in patients with RCC (hazard ratio=0.70, 95% confidence interval=0.65-0.76, p<0.001). Conclusion: These findings implicate the potential protective role of HLF in the progression of RCC. It was estimated that 403,262 new cases of kidney cancer were diagnosed and 175,098 people died from the disease worldwide in 2018 (1). Multiple lifestyle, environmental and genetic risk factors have been reported to contribute to kidney carcinogenesis. Moreover, the Nordic Twin Study of Cancer identified kidney cancer as a highly heritable cancer with a 38% estimate of heritability (2). Renal cell carcinoma (RCC), derived from the renal epithelium, accounts for 80-85% of all kidney cancer (3). Recent meta-analyses of genome-wide association studies have identified 13 risky loci in von Hippel-Lindau/β-catenin signaling, telomere maintenance, and brahma-related gene 1/brahma-associated factor (BAF)/polybromo-associated BAF epigenetic pathways as putative drivers of RCC (4). However, these risky loci represent only approximately 10% of the familial risk of RCC (4), suggesting that there remain considerable undetermined genetic factors influencing the risk of RCC.